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San Joaquin County-Environmental Health Department <br /> 1868 E.Hazelton Avenue-Stockton CA 95205-Phone: 209468-3420 <br /> APPLICATION <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE <br /> EMPLOYEE HOUSING OR LABOR CAMP ( ^/� <br /> ❑New Camp E] IXI Conditional Permit ❑ Multiple Years(Permanent Housing Camps only) Annual Permit for Calendar Year Ot,�/0qJ4 <br /> ❑Amended Permit: *Change of Operator *Change of Owner l� <br /> *Change of Operator Address *Change of Owner Address Permit ID#• 0000040 <br /> *Additional Employees <br /> State ID#: 39-0054-EH <br /> EH ID#: 39000054 <br /> Please Note any Corrections or Changes in Facility/Operator Information directly on this form. <br /> Site Name: LINDEN ORCHARDS 39-54 Location: 21100 E FRAZIER RD,LINDEN <br /> Operator: A SAMBADO&SON <br /> Mailing Address: 8077 N TULLY RD,LINDEN CA 95236--961 Facility Phone#:(209)931-2568 <br /> Legal Owner: BOGGIANO FAMILY INTEREST New Owner? ❑Yes No <br /> Owner Address: 8077 N TULLY RD, LINDEN CA 95236--961 Owner Phone#:(209)931-3086 <br /> Community Facilities Provided by Camp Community Kitchen? ❑ Yes ❑ No <br /> Men: Number of Toilets (0 Number of Showers 4 Number of Lavatories <br /> Women: Number of Toilets Number of Showers Number of Lavatories <br /> Ilousing Accommodations to be Utilized this fear: Occupancy Dates: <br /> I3uildims 1? <br />